Med Surg ch. 65-67 & 13-14
Reduce exposure to bright lighting Move head slowly when changing positions Plan evenly- spaced daily fluid intake
A nurse in a clinic is caring for a client who has Ménière's disease and is experiencing vertigo. Which of the following actions should the nurse recommend to help control the vertigo?
Superficial thickness
A nurse in a providers office is collecting data from a client who has a severe sunburn, which of the following classifications should the nurse use to document this burn?
Intravenous
A nurse is assisting with the care of a client who sustained deep partial- thickness and full thickness burns over 60% of their body 24 hr ago and is requesting pain medication. The nurse should ensure the pain medication is administered using which of the following routes to administer the medications?
Inhalation injury
A nurse is caring dot a client who has sustained burns over 35% of total body surface area. The clients voice has become hoarse, a brassy cough has developed, and the client is drooling. The nurse should identify these findings as indications that the client has which of the following?
Acyclovir
A nurse is caring for a client who had herpes zoster. Which of the following medications should the nurse expect to administer for treatment?
Blurred vision White pupils
A nurse is caring for a client who has a new diagnosis of cataracts. Which of the following manifestations should the nurse expect?
Anorexia
A nurse is caring for a client who has contact dermatitis and has a new prescription for diphenhydramine. For which of the following adverse effects should the nurse monitor?
Open- angle glaucoma
A nurse is caring for a client who has diabetes mellitus and reports a gradual loss of peripheral vision. The nurse should recognize this as a manifestation of which of the following diseases?
Unilateral hearing loss
A nurse is caring for a client who has suspected Ménière's disease. Which of the following is an expected finding?
Potassium hydroxide (KOH)
A nurse is caring for a client who has suspected fungal skin lesion. Which of the following laboratory findings should the nurse expect to review to confirm this diagnosis?
Genetic predisposition Hypertension Age Diabetics mellitus
A nurse is caring for a male older adult client who has a new diagnosis of glaucoma. Which of the following should the nurse recognize as risk factors associated with this disease?
Temperature 36.1 (97.0) HyperKalemia Hyponatremia
A nurse is collecting data from a client who sustained deep partial- thickness and full- thickness burns over 40% of the body 24hr ago. Which of the following are findings are common durning this phase?
Limit visitors in the clients room Increase protein intake Restrict fresh flowers in the room.
A nurse is contributing to the plan of care for an adult client who sustained severe burn injuries. Which of the following interventions should the nurse recommend for inclusion in the plan of care?
Fluid or bubbles seen behind the TM
A nurse is performing an otoscopic examination of a client. Which of the following is an unexpected finding?
I should apply an antibiotic ointment to the area.
A nurse is reinforcing discharge instructions to a client who had a skin biopsy with sutures. The nurse should identify that which of the following client statements indicates understanding?
I will avoid blowing my nose
A nurse is reinforcing discharge teaching to a client following middle ear surgery. Which of the following statements by the client indicates understanding of the teaching?
You need to limit your housekeeping activities.
A nurse is reinforcing postoperative teaching to a client following cataract surgery. Which of the following statements should the nurse include in the teaching?
Increase intake of deep yellow and orange vegetables.
A nurse is reinforcing teaching for a client who has a new diagnosis of dry macular degeneration. Which of the following instructions should the nurse include in the teaching?
Apply the topical medication for up to 2 weeks after the fungal lesions are gone.
A nurse is reinforcing teaching to a client about a new prescription for clotrimazole topical cream. Which of the following statements should the nurse include?
Apply warm compresses to the affected areas.
A nurse is reinforcing teaching with a client on home care after a culture for a bacterial infection and cellulitis. Which of the following information should the nurse include?
Calcium
A nurse is reinforcing teaching with a client on the use of calcipotriene topical medication for the treatment of psoriasis. Which of the following laboratory values should the nurse monitor?
Administer a psoralen medication before the treatment.
A nurse is reinforcing teaching with a client who has a history of psoriasis about photo chemotherapy and ultraviolet light (PUVA) treatments. Which of the following instructions should the nurse include?
Place the child in a bath with colloidal oatmeal.
A nurse is reinforcing teaching with the guardian of a child who has contact dermatitis. Which of the following information should the nurse include?
Apply an occlusive dressing after application. Wear gloves after application to lesions on the hands. Avoid applying in the skin folds.
A nurse is reviewing information about a new prescription for corticosteroid cream with a client who has mild psoriasis. Which of the following instructions should the nurse include?
enlarged adenoids Report of recent colds
A nurse is reviewing the medical health record of a client who has sever Otitis media. Which of the following are expected findings?